person
Jessica Marie Russell, MA,LPC,LAC
Professional Counselor in Pueblo, Colorado
NPI 1457646747

Jessica Marie Russell is a Professional Counselor based in Pueblo, CO and is specialized in Professional. Jessica Marie Russell practices in Pueblo, CO and has the professional credentials of MA,LPC,LAC. The NPI Number for Jessica Marie Russell is 1457646747 and holds a License No. ACD 0000342 (Colorado).

The current practice location address for Jessica Marie Russell is 41 Montebello Rd Ste Ll1, Pueblo, CO and can be reached out via phone at 719-545-2746 and via fax at 719-542-9638.

Location: 41 Montebello Rd Ste Ll1, Pueblo, CO, 81001-1366
person
Provider Profile Details
NPI Number
1457646747
Provider Name
Jessica Marie Russell
Credential
MA,LPC,LAC
Provider Entity Type
Individual
Gender
Female
Address
41 Montebello Rd Ste Ll1, Pueblo, CO, 81001-1366
Phone Number
719-545-2746
Fax Number
719-542-9638
Provider Enumeration Date
06/14/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
41 Montebello Rd Ste Ll1
City
State
Zip
81001
Phone Number
719-545-2746
Fax Number
719-542-9638
person
Provider Business Mailing Address Details
Address
41 Montebello Rd Ste Ll1
City
State
Zip
81001
Phone Number
719-545-2746
Fax Number
719-542-9638
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LPC.0011493 (Colorado)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
ACD 0000342 (Colorado)
Definition
Definition to come...
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